Tag: hypertension in pregnancy

Treatment:

• Controle convulsions with Magnesium Sulfate and/or Valium
• Treat hypertension  
• Deliver as rapidly and least traumatically as possible
  • FETUS ALIVE
    • Gestational age > 36 weeks
      • Urgent C/S
    • Gestational age < 36 weeks
      • Vaginal delivery
      • Induction and/or augmentation
        • Oxytocin
  • FETUS DEAD
    • Vaginal delivery
    • Induction and/or augmentation
      • Misiprostol (Cytotec)
    • Destructive delivery if needed

• Monitor vital signs closely
• Continue antihypertensive treatment
• Give regular doses of Magnesium Sulfate and/or Valium to prevent convulsions
• Keep a syringe with 5-10 mg valium at bedside for immediate i.v. administration to control breakthrough convulsions
• Watch out for signs of DIC (HELLP)

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